NPIMap

Individual provider Active NPI

Mackenzie Taylor, DO

  • Physical Medicine & Rehabilitation Physician
  • Chattanooga, TN
National Provider Identifier
1124655154
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5785 Issued in TN
Practice address
1 Siskin PLZ
Chattanooga, TN 37403-1306
Phone
(423) 803-2226
Fax
(423) 803-2222
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X 5785 TN Primary

Addresses

Primary practice location

1 Siskin PLZ
Chattanooga, TN 37403-1306

Mailing address

1 Siskin PLZ Ste 101
Chattanooga, TN 37403-1306
Phone (423) 803-2226

Other names 1

  • Dr. Mackenzie Gillund Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241003002160 TN Practitioner - Physical Medicine and Rehabilitation 8426479726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Spine and Rehabilitation PLLCGroup PAC ID 7315002052, 15 clinicians

Practice addresses (Care Compare)

1 Siskin PLZ
Suite 101
Chattanooga, TN 37403-1306
Phone (423) 803-2226

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.35 of 100Reported as group
Quality
85
Promoting interoperability
79
Improvement activities
40
Cost
78.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5785TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Spine & Rehabilitation PLLC Physical Medicine & Rehabilitation CurrentSince Sep 3, 2024 Accepting new patients
Siskin Hospital for Physical Rehabilitation Past Accepting new patients

Locations

1 Siskin Plz
Ste 101
Chattanooga, TN 37403
Phone (423) 803-2226

1 Siskin Plz
#101
Chattanooga, TN 37403
Phone (423) 634-1375

1 Siskin Plz
Chattanooga, TN 37403
Phone (423) 634-1200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1124655154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SISKIN PLZ STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031306",
            "telephone_number": "423-803-2226",
            "fax_number": "423-803-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SISKIN PLZ",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031306",
            "telephone_number": "423-803-2226",
            "fax_number": "423-803-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MACKENZIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "5785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "GILLUND",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.